Quality Assurance Sub Group Meeting

MINUTES of the Quality Assurance Sub Group Meeting, Wednesday 21 st June 2017

Present:- Jane Morris, Sam Aitcheson, Linda Keenan

Via VC: Laura Hulse

No Item Action 1 Apologies

Phil Crockett, Lesley Dolan, Paula Collin, Louise Hobbs, Louise Richards, Neil Laurenson

2/3 Minutes of the Previous Meeting/Matters Arising

Accepted as a correct record.

Matters Arising:

All matters arising are covered under the main Agenda.

The date of the next meeting has been changed to Tuesday 19th September 2017 at 3.00 pm in South Lodge.

4 Current Audit Activity

Patient Satisfaction Questionnaire – 23 questionnaires were returned in 2016 and 5 have been returned so far in 2017. Although numbers are small it was agreed to carry on with this. Low returns from certain areas may be down to services having no secretarial cover to administer these to patients.

Physical Monitoring Audit - Grampian The 1st round has been completed by PCrock and Catherine and they are now developing the 2nd phase. There has been good compliance from EDS Staff but it has been poorer from GP’s.

SA presented his Group study at the MHAIST team and it was very well received and they are willing to give their support to evaluating the groups effectively.

JM stated that the piece of work on Outcome Measures on LK discharged patients is almost complete. JM has emailed CB regarding the elective report but has not had response. LK to put on the MCN “To Do” list to follow this up.

Matthias Fiele cannot complete the MHA audit but Zoe Johnston (a Lothian Student) is going to do it as her elective project. She will possibly do some qualitative research as well. She is going to meet up with J Tan and Stephen Anderson beforehand as well.

Highland LH explained that a lot of their information is on “lock down” due to changes in IT systems.

JM suggested that it would be a good idea to find out what databases were available across the Network and which audits could possibly be done Network wide. She suggested adding this to the Agenda for a meeting with LK Malcom Wright/Maureen Watt.

5 Research Group

JM was contacted by Amy Martin regarding audit on Diabetes and Eating Disorders but has had no time to do anything further with it. P Crockett and SA would be keen to be involved in some way time permitting but it was generally JM felt that the piece of work should be written up for publication – possibly the Diabetes UKJournal?

PCr has been undertaking a Deprivation Study. SA is involved with this. They have had discussion with Angus MacBeth and he feels it is an excellent database with a wealth of information. He is going to suggest a couple of people who may possibly be able to help with it. He has also talked about converting the database into a format that can be shared. Again time constraints are an issue. JM JM suggested that the Baird Neonatal/Obstetric database may be able to help with this. It hosts a lot of information of value and they may be interested in this as a project.

Janet Treasure Study IP units across the country have signed up for this and all the necessary ethics approvals etc have been granted. The 1st study is an online Carer Resource. LP went to the investigator approval meeting and she will be the responsible person for the study in the Eden Unit. JM suggested it may be an idea to invite someone to come to the Scottish Research Network meeting to present on the Study.

Highland LH – Trauma Research – she has done 6 interviews as the 1st phase and transcribed then. She is now analysing these. The 2nd phase will include setting up Focus Groups. The 3rd phase will concentrate on quantative elements using the data gathered from the focus groups. The 4th phase will include Focus Groups with therapists. LH has had involvement from services across the network. The project has been slow to get off the ground but is getting there now. The 2 PI’s have made a difference. JM suggested that LH present at the Research Network to update people on the project.

Tayside Although there was no representation from Tayside it was noted that Nell Filgate was almost ready to submit her work on her online Self-Help project which had been very interesting. JM mention that the only specific mention of ED’s in the recently published MH strategy was the idea of putting together an online Self-Help module for Eating Disorders.

6 Further Development of Care Pathways across Regions

Highland have recently looked at their pathways and have decided not to alter them at the moment.

A discussion took place surrounding self-referrals to service but it was made clear that GP’s could still refer and their involvement was crucial if we wanted them to provide medical monitoring. The relationship with physical monitoring needs to be maintained.

LH stated that the only change to their pathway would be the levels of urgency with a new level of Semi-Urgent to be included.

In Grampian SA stated that there were likely to be some changes as they were hoping to use MBT for dual diagnosis pathways. With integration this may lead to some changes but they were happy with things at the moment.

Transitions Document This document has been submitted to the Royal College of Psychiatrists. It will be used as a draft pilot protocol and it would be good to get someone to audit it in the future.

Ward 104 Referral Pathway A meeting has now taken place regarding this protocol which has expanded upon the original philosophy including developing a Patient and Carer Version. PCr will share this with MH Management and AMcK will share with management colleagues at ARI. Stephen Anderson will also be discussing it with the MWC. It will, in future, form the basis of collaborative training for nurses.

7. Standardised Questionnaires

It has been formally agreed that the standard questionnaires to be used across the Network would be CORE 10, EDEQ and DASS21. These should be used from August and team secretaries in particular should be informed. AS

8. AOCB

There was no other competent business to be discussed.

9. Dates & Times of Next Meetings

Tuesday 19th September 2017 at 3pm in South Lodge, Royal Cornhill Hospital, Aberdeen.